2WZ-25219-62234
3 vaccinations
13 coded responses
39 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 034 / NH
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Moderna
- 2021-04-10
- 2021-04-11
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Armpits feel tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Tender under armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: Good · Fatigue or tirednessFree text: Tender under armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-17
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2021-04-24
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — day 21, dose 1MedDRA: Arthralgia, Nerve compression, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pinched nerve / pain in left shoulder · Healthcare visit (other): ChiropractorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-08
Dose 2 — Moderna
- 2021-05-08
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Swollen underarms, left side of collar bone soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-14
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2021-05-17
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-05-23
- 2021-05-29
- 2021-06-07
- 2021-06-14
- 2021-06-19
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2021-08-07
Survey response — 3 months, dose 2MedDRA: Nerve compression — Feeling: Good · Be unable to do your normal daily activitiesFree text: Pinched nerve in left shoulderMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-08
Survey response — 6 months, dose 2MedDRA: Nerve compression — Feeling: GoodFree text: Pinched nerve in arm that dose was receivedMedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Dose 3 — Moderna
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2021-11-27
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Bone pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph node swollen in underarm of shot given. Collar bone painMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Nausea, DiarrheaAdult check-in
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2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-04
- 2021-12-13
- 2021-12-18
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2021-12-25
Survey response — day 28, dose 3MedDRA: Neuralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Arm pain, nerve painMedDRA releases: 2024-11 · check-in free text available
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2022-01-08
Survey response — day 42, dose 3MedDRA: Nerve compression — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The pinched nerve in my injection arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-28
- 2022-04-07
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2022-05-30
Survey response — 6 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Tested positive for Covid 5/29/22MedDRA releases: 2024-11 · check-in free text available
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2022-05-30
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
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2022-06-01
Call successfulCompleted over the phone
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2022-11-27
Survey response — 12 months, dose 3MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Seeing a long Covid unit up in (b)(6) NH for long Covid symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-11-27
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-11-28
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Armpits feel tender
Systemic reaction (other): Tender under arms
Systemic reaction (other): Tender under arms
Release 7 — day 14, dose 1
Symptoms: Headaches
Release 8 — day 21, dose 1
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen underarms, left side of collar bone sore
Release 9 — 3 months, dose 2
Symptoms: Pinched nerve in left shoulder
Release 10 — 6 months, dose 2
Symptoms: Pinched nerve in arm that dose was received
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph node swollen in underarm of shot given. Collar bone pain
Release 10 — day 28, dose 3
Symptoms: Arm pain, nerve pain
Release 10 — day 42, dose 3
Symptoms: The pinched nerve in my injection arm.
Release 11 — 6 months, dose 3
Symptoms: Tested positive for Covid 5/29/22
Release 12 — 12 months, dose 3
Symptoms: Seeing a long Covid unit up in (b)(6) NH for long Covid symptoms
redacted (b)(6)
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nerve compression | ✓ | ✓ | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Bone pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release